AstrosFan

Has anyone heard anything from TWU since their interview?

Have you heard anything regarding acceptance/rejection yet?

In My Opinion: 2 Theories. First, Administration doesn't give a rat's rectum what the ANA considers ridiculous, especially when it comes to the bottom line = $$$$. With competition being what it is, administration wants those patients back because they see them in the "business model" not the "Medical model" that we see the patients in. In my hospital, not one of our upper administration personnel has ever been employed in patient care areas. They have no clue regarding taking care of patients. Secondly, PG offers administration and directors a tool by which to keep an eye on personnel under them. They won't admit it, but I'll bet that is one way PG sells its product. I imagine a PG sales rep saying, "Our survey's allow you to be at the bedside with your nurses to see how they care for patients needs/desires/etc. without actually being there." "A sort of birds eye view, another way to keep your thumb on nurse behavior. Administration is hoping that your thinking constantly about the fact that this patient may be the one to put the nail in your coffin if you don't smile constantly, skip while carrying the bedpan down the hall, and stroke the hair of the moron who is throwing up because they drank 18 beers last night and can't figure out why their stomach is upset. Hmmmm? Just my humble opinion.

They are told to follow up with their PCP, but they don't. They just return in a week or so telling you "I was here last week for the same thing, I'm not sure what you did, but whatever it was, it didn't work." GOOD POINT! Another thing that bothers me, and is no fault of the patients, is the fact that in my area the doctors are so overrun with patients that you can't get in to see one of them for at least a month. At least its that way with most of them. I hate that for our patients (and me, when I need to see my doctor). I can empathize with a pt who has tried to get in to see his/her doctor but couldn't so they're now at the ER. That is what I'm there for, right?

Good for you for wanting to help. At times, the EMT-B course may be boring to you, but you will learn much more than how to take a BP again. Just to name a couple; you'll learn how to properly apply a KED (Kendrick Extrication Device), Bandaging and splinting that you didn't learn in nursing school. It's a great class if you have the right mindset. I sometimes think it should be required before having children. Man-Oh-Man, how many ER visits would be dodged if parents knew how to take care of minor emergencies? Go For It. Have fun with it!

i switch it around a little; hi, my name is john, i'm not really a nurse but i did stay at a holiday inn express last night.

Thank you for your reply. Believe me, I wanted to say something to her when she brought up the cash, but I couldn't get a word in. She was runnin off at the mouth. You know, I hate having to go back to the docs. I really try to handle these situations myself, but just felt for documentation reasons I should at least consult him. Then just as you, I documented all that they said. I wonder, too, if the meds were even for him. People think that every shift is our first and that we have never heard some of their excuses. Arrgh. Take Care.

Now that Just makes me laugh:lol2: Thanks for the reply

I like to wear the pants with the cargo pockets on the side, so here goes: Left front pocket: alcohol swabs, tourniguet. Right front pocket: money clip, Burts Bees lib balm, bottle of NTG Left side Cargo (inside pocket): four 10ml syringes and a med list I made Left side Cargo (outside pocket): 2 blood transfer devices for blood draws Right side Cargo (inside pocket): Trauma Shears, Small book with Snellin chart and other stuff I may forget. Right side Cargo (outside pocket): five 3ml syringes Back Pocket: RN Critical Care and ACLS Booklet. I used to carry around my PDA (Dell Axim) but was just too heavy and I think its almost faster just to look in the Mosby's at the Pyxis station. Stethoscope is around my neck, but don't like it there, I hate stuff around my neck. Pens in front pocket of scrub top. To semi-quote from the movie Boomerang "You gots to 'accessorize'.";)

:angryfire I'm a little steamed. The other night I had a pt present with an "ankle sprain." Yep, that's it. When I went to discharge this "fine, upstanding, well-groomed" individual , his rolly-poley little wife advised me that the APAP#3 wasn't going to be good enough. She stated that he was a 250lb. man that needed much stronger pain medication. I replied that it was a sprain and that we don't normally prescibe a narcotic for a sprain. His wife was adamant that I go ask the doctor for something stronger. She was that type of person that doesn't know half of what she's talking about and you can't get a word in. She developed a quick case of diarrhea of the mouth. So, I walked out and advised the doctor of the situation. He responded exactly as I expected. Yep, you guessed it, they're not getting anything stronger. I went back into the room with the bad news. She became angry and proceeded to orally defecate :barf01: some argument that since they were paying cash for this visit that they should be able to get whatever they requested. The pt advised that he didn't have a regular doctor and that this would be his doctor visit and so he needed medication. To tell you the truth, they both went off on a tangent and I sort of quick listening. They yapped the entire time while leaving, but did leave. I know I shouldn't have (you know the old saying about argueing with a fool), but I argued with the two of them about how it was just a sprain and that I had never had anything for the many sprains that I had had, yadda yadda yadda. I just don't get it with this entitlement attitude of these folks. I've been putting up with this for a few years, but it still pisses me off. If my ER director wasn't so eaten up with PressGaney, I wouldn't have even taken the request to the Doctor. I would have said, "here are your discharge instructions, here is the medication that has been prescribed to you, there is the door, if you continue to argue, security will be happy to escort you to your car." So, now to a question. How would some of you respond to this situation? What would you have said to a pt demanding a narcotic for a minor injury?...Beside, "Suck it up, wuss!" Oh, how I wish I could say that. Thanks in advance for your replies.

I agree 100% with your comment. It just doesn't make a lot of sense to me for a patient to come to my place of business and tell me how to do my job, much less dole out ultimatums. I can't help but become defensive when I hear this sort of comment. "Excuse me, but I have been starting IVs for 11 years and never has it been my desire to poke someone as many times as I can; I have much better things to do." For you to tell me that you are only allowing one stick tells me your not that sick. Hmmm.

Thanks a lot, Liz and Boomer. I had my suspicions that it was the TCU program that they were talking about. Now, Boomer, what suggestions do you have for me in regards to being accepted into the TCU program. Also, I have a BS in fire protection and safety engineering, but only an ADN; do you think that they are going to require me to complete a BSN or accept credit for the BS combined with my ADN. I personally don't know what the difference would be. BS+ADN = BSN? or not? Thanks again for your replies. And Good luck to you both.

Hello everyone! I hope that I am doing this right (starting a new thread). I haven't ever been on a forum. I just recently finished Nursing school after 12 years as an intermediate paramedic. My desire is to go to CRNA school. Someone told me today that there was a CRNA school in Tulsa, OK. True? I can't find any reference to it on the web. Thanks.